Study study type PathologyT1T0Patientssample sizesROB Results

metastatic/advanced - colorectal cancer (mCRC) metastatic/advanced - colorectal cancer (mCRC)

versus Standard of Care (SoC)
atezolizumab plus cometinib
Modul Cohort 4, 2023
  NCT02291289
RCTmetastatic/advanced - colorectal cancer (mCRC)atezolizumab plus cobimetinibfluoropyrimidine plus bevacizumab in 2- or 3-week treatment cycles depending on the fluoropyrimidine usedPatients 18 years of age or older with histologically confirmed, measurable, unresectable mCRC65 / 34some concern
inconclusive
  • inconclusive 44 % increase in progression or deaths (PFS) (PE)
Cobimetinib plus atezolizumab had an unfavourable benefit:risk ratio in HER2‒/MSS/BRAFwt mCRC.
atezolizumab plus SoC
Modul Cohort 2, 2022
  NCT02291289
RCTmetastatic/advanced - colorectal cancer (mCRC)Atezolizumab plus controlFP (fluoropyrimidine) based chemotherapy plus bevacizumabPatients 18 y and older with histologically confirmed, measurable, unresectable, previously untreated mCRC, an ECOG PS <= 2, and >=16 weeks of life expectancy at the time of study entry297 / 148low
inconclusive
  • inconclusive 8 % decrease in progression or deaths (PFS) (PE)

mCRC - 1st line (L1) metastatic/advanced - colorectal cancer (mCRC) mCRC - 1st line (L1)

versus Bevacizumab plus FOLFOXIRI
atezolizumab plus FOLFOXIRI plus bevacizumab
AtezoTRIBE, 2022
  NCT03721653
RCTmCRC - 1st line (L1)atezolizumab plus FOLFOXIRI plus bevacizumabFOLFOXIRI plus bevacizumabPatients aged 18–75 years, with ECOG PS ≤2 if aged < 70 years, or ECOG PS 0 if aged 71–75 years145 / 73some concern
suggested
  • suggested 30 % decrease in progression or deaths (PFS) (PE)
1) The addition of atezolizumab to first-line FOLFOXIRI plus bevacizumab is safe and improved progression-free survival in patients with previously untreated metastatic colorectal cancer2) Pts with IS IC-high and/or TMB high pMMR mCRC seem to derive a survival benefit from adding atezo to FOLFOXIRI/bev as upfront treatment.

mCRC - 2nd line (L2) metastatic/advanced - colorectal cancer (mCRC) mCRC - 2nd line (L2)

versus capecitabine, placebo plus bevacizumab
atezolizumab plus bevacizumab
BACCI, 2022
  NCT02873195
RCTmCRC - 2nd line (L2)capecitabine plus bevacizumab plus atezolizumabcapecitabine plus bevacizumab plus placeboPatients 18 years and older with Refractory Metastatic Colorectal Cancer82 / 46low
inconclusive
  • inconclusive 27 % decrease in progression or deaths (PFS) (PE)
In this randomized clinical trial, the addition of atezolizumab to capecitabine and bevacizumab therapy provided limited (ie, not clinically meaningful) clinical benefit. Patients with MSS and proficient mismatch repair tumors and those without liver metastasis benefited more
versus regorafenib
atezolizumab alone
IMblaze-370 (A ; all population), 2019
  NCT02788279
RCTmCRC - 2nd line (L2)atezolizumab monotherapyregorafenibpatients with unresectable locally advanced or metastatic colorectal cancer and disease progression on or intolerance to at least two previous systemic chemotherapy regimens were enrolled.90 / 90some concern
inconclusive
  • inconclusive 0 % increase in deaths (OS) (PE)
atezolizumab plus cometinib
IMblaze-370 (AC ; all population), 2019
  NCT02788279
RCTmCRC - 2nd line (L2)atezolizumab plus cometinibregorafenibpatients with unresectable locally advanced or metastatic colorectal cancer with disease progression on or intolerance to at least two previous systemic chemotherapy regimens were enrolled.183 / 90some concern
inconclusive
  • inconclusive 0 % increase in deaths (OS) (PE)